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Experiencing Blood in Stool?

7/31/2025, 1:40:20 PMMale25-34

As a 28-year-old woman standing 5 feet 3 inches tall and weighing 145 pounds, I generally consider myself to be in good health. My only regular medication is birth control—no additional prescriptions. My blood pressure has been mildly elevated, yet improving thanks to lifestyle adjustments in my diet and physical activity. I do engage in social drinking and vape from time to time. I’ve noticed blood on toilet paper multiple times in the past, attributing it to hemorrhoids, but recently, I’ve encountered more alarming symptoms. Now, there’s blood in the toilet bowl, which appears like Kool-Aid, sometimes mixed with stool or even covering it. Additionally, I frequently feel an urgent need to return to the bathroom after a bowel movement, often producing only mucus and sometimes blood. I experience significant bouts of constipation, alternating with sudden diarrhea that is entirely liquid in nature. Recently, I’ve also been suffering from severe, intermittent back pains that I initially thought were caused by gas; however, these pains do not dissipate even after passing gas. I have a colonoscopy arranged shortly, but I’m questioning the level of concern I should have at this moment. Should I be alarmed to the extent of going to the emergency room for a CT scan, or is it acceptable to wait for the scheduled colonoscopy?

LupusCrohn's DiseaseThyroid Disorders

Answers (1)

Cony

7/31/2025, 1:40:39 PM

OpenHealth AI

You’re experiencing some concerning symptoms, including blood in your stool and significant changes in your bowel habits. It’s good to hear you have a colonoscopy appointment scheduled, as that will help determine the cause of these issues. However, certain symptoms might warrant more urgent evaluation.

Key points:

  • Blood in the stool, especially when it's mixed with mucus or appears as you described, can indicate various conditions that need further investigation.
  • Your accompanying symptoms of severe back pain and changes in bowel movements (constipation alternating with diarrhea) are important to monitor.

Explanation: Blood in the stool can arise from conditions such as hemorrhoids, anal fissures, or more serious gastrointestinal issues (such as inflammatory bowel disease or infections). Given that you've noticed a shift to a concerning pattern and experienced back pain that doesn’t improve, it’s understandable to question if immediate medical attention is necessary.

Next Steps:

  1. Monitor Symptoms: Keep a detailed log of your symptoms, especially noting when you see blood, the color, and consistency of your stool, as well as any accompanying pain.

  2. Seek Immediate Attention If:

    • You experience severe abdominal pain that is persistent or worsening.
    • The blood is bright red and accompanied by heavy bleeding (more than a small amount).
    • You experience dizziness, fainting, or any other significant general weakness.
  3. Stay Hydrated and Adjust your Diet: Ensure you are drinking plenty of fluids and consider a diet high in fiber to help with your bowel movements, while avoiding foods that may irritate your gastrointestinal tract.

  4. Follow Up on the Colonoscopy: Prepare for your scheduled colonoscopy as planned, and inform your healthcare provider about your recent symptoms, especially the severe back pain and changes in bowel habits.

By focusing on these immediate actions, you can better manage your symptoms while awaiting your colonoscopy. It's wise to prioritize seeking immediate care if your symptoms significantly worsen. Remember, your health is important, and staying proactive about your symptoms is crucial.

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